摘要
目的:研究急性心肌梗死(Acute Myocardial Infarction,AMI)患者心理弹性与医学应对方式的相关性。方法:选取2018年10月到2019年10月某院收治的AMI患者160例作为研究对象,采取面对面调查方式记录所有患者性别、年龄、民族、文化程度、患病时间、住院次数、家庭收入、心功能分级及有无合并其它疾病。对所有患者进行心理弹性量表(the Connor-Davidson Resilience Scale,CD-RISC)及医学应对方式问卷(Medical Coping Modes Questionnaire,MCMQ)评估,比较不同信息患者CD-RISC、MCMQ评分差异,将得分有差异信息纳入Logistic回归分析模型,明确AMI患者CD-RISC、MCMQ得分高的危险因素,通过Spearman系数分析CD-RISC评分坚韧、自强、乐观维度与MCMQ评分面对、回避、屈服维度的相关性。结果:年龄<40岁、高中以上学历、患病时间<1年、住院次数为1~2次、家庭收入>10000元、无合并疾病AMI患者CD-RISC得分显著增高,差异有统计学意义(t/F=3.726,3.554,14.241,3.270,18.483,3.269;P<0.05);男性、年龄<40岁、患病时间<1年、家庭收入>10000元、心功能分级为Ⅰ级AMI患者MCMQ得分显著增高,差异有统计学意义(t/F=2.485,4.260,12.852,12.932,18.124;P<0.05)。经Logistic回归性分析,证实年龄<40岁、文化程度高中以上、患病时间<1年、住院次数1~2次、家庭收入>10000、无合并其它疾病是AMI患者CD-RISC得分高的危险因素。经Logistic回归性分析,证实男性、年龄<40岁、患病时间<1年、家庭收入>10000、心功能分级为Ⅰ级是AMI患者MCMQ得分高的危险因素。面对与坚韧、自强、乐观均呈显著正相关(r=0.456,0.413,0.526;P<0.05),回避及屈服与坚韧、自强、乐观均呈显著负相关(r=-0.324,-0.545,-0.487,-0.345,-0.475,-0.428;P<0.05)。结论:AMI患者心理弹性量表中的面对维度与医学应对方式中的坚韧、自强、乐观维度存在正相关,回避及屈服维度与医学应对方式中的坚韧、自强、乐观呈负相关,且年龄<40岁、患病时间<1年、家庭收入>10000元患者其心理弹性及医学应对方式得分更高。
Objective:To study the relationship between mental resilience and medical coping style in patients with acute myocardial infarction(AMI).Methods:A total of 160 AMI patients admitted to our hospital from October 2018 to October 2019 were selected as the research objects,and face-to-face survey was conducted to record all patients’ gender,age,nationality,education level,duration of illness,number of hospitalizations,family income,cardiac function grading and whether there were other diseases combined;All patients were assessed with the Connor-Davidson Resilience Scale(CD-Risc)and the Medical Coping Style Questionnaire(mcmq);We compared the differences of CD-RISC and mcmq scores of patients with different information,put the information with different scores into logistic regression analysis model,clarified the risk factors of high CD-RISC and mcmq scores of patients with AMI,and analyzed the correlation between the dimensions of tenacity,self-improvement,optimism of cd-risc scores and the dimensions of mcmq scores face to face,avoidance and yield by Spearman coefficient.Results:The scores of CD-RISC in AMI patients with age<40 years old,high school education or above,illness time<1 year,hospitalization times 1-2 times,family income>10000 yuan,and no combined disease were significantly higher(t/F=3.726,3.554,14.241,3.270,18.483,3.269;P<0.05);The scores of mcmq in men,age<40 years old,illness time<1 year,family income>10000 yuan,heart function grade I AMI patients were significantly higher(t/F=2.485,4.260,12.852,12.932,18.124;P<0.05).According to logistic regression analysis,age<40 years old,education level above high school,sick time<1 year,hospitalization times 1-2 times,family income>10000,no other diseases were the risk factors of high CD-RISC score in AMI patients.By logistic regression analysis,the risk factors of mcmq score in AMI patients were male,age<40 years old,time of illness<1 year,family income>10000,and heart function grade I.There was a significant positive correlation between face and tenacity,self-improvement and optimism(r=0.456,0.413,0.526;P<0.05),and a significant negative correlation between avoidance and yield and tenacity,self-improvement and optimism(r=-0.324,-0.545,-0.487,-0.345,-0.475,-0.428;P<0.05).Conclusion:There is a positive correlation between the face dimension of MI patients’ psychological resilience scale and the dimensions of tenacity,self-improvement and optimism in medical coping style,and a negative correlation between the dimensions of avoidance and submission and the dimensions of tenacity,self-improvement and optimism in medical coping style,and the patients with age<40 years old,sick time<1 year,family income>10000 yuan score higher in psychological resilience and medical coping style.
作者
闫志如
常桂娟
陈爱莲
YAN Zhiru;CHANG Guijuan;CHEN Ailian(Puyang Hospital of Traditional Chinese medicine,Henan Province,Puyang 457000,China)
出处
《中国健康心理学杂志》
2020年第9期1337-1341,共5页
China Journal of Health Psychology
基金
2018年度河南省医学科技攻关计划项目(编号:2018020382)。
关键词
急性心肌梗死
心理弹性
医学应对方式
相关性
Acute myocardial infarction
Psychological resilience
Medical coping style
Correlation
作者简介
闫志如,E-mail:zhh082018@163.com。
